Baldoman Dwight, Vandenbrink Ron
Cedar Sinai Medical Center, Los Angeles, USA.
City of Hope Cancer Center, Duarte, USA.
Cancer Treat Res. 2018;174:209-223. doi: 10.1007/978-3-319-65421-8_12.
Treatment sequelae such as trismus, shoulder dysfunction syndrome resulting from spinal accessory nerve palsy, and radiotherapy-induced neck fibrosis are often overlooked when in the management of head and neck cancer patients. This chapter examines these underappreciated issues and their corresponding physical therapy intervention based on current evidence. Head and neck cancer survivors must contend with these disabilities for years after treatment has been concluded. A few quit their jobs which puts a tremendous burden on them and their families with a diminished quality of life. The physical rehabilitative needs of head and neck cancer patients and useful interventions to help meet them are addressed.
在头颈癌患者的管理中，诸如牙关紧闭、副神经麻痹导致的肩部功能障碍综合征以及放疗引起的颈部纤维化等治疗后遗症常常被忽视。本章基于现有证据探讨了这些未得到充分重视的问题及其相应的物理治疗干预措施。头颈癌幸存者在治疗结束后的数年里必须应对这些残疾问题。一些人辞去了工作，这给他们及其家庭带来了巨大负担，生活质量也随之下降。本文还讨论了头颈癌患者的身体康复需求以及有助于满足这些需求的有效干预措施。
